Pain Management Solution LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN MANAGEMENT SOLUTION LLC

Practice address

730 Executive Park Dr Ste a
Greenwood, IN 46143-3213

Phone

(317) 346-7246

Fax

(317) 543-3763

NPI assigned

Sep 9, 2010

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory S. Masimore, MDNPI 1104878982

Title

Authorized Official

Phone

(317) 346-7246

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Pain Management Solution LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pain Management Solution LLC

  • Pain Medicine Physician
  • Greenwood, IN
  • NPI 1396037255
  NPD tax ID
• Pain Management Solution LLC

  • Pain Medicine Physician
  • Columbus, IN
  • NPI 1871050781
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Scott Masimore, MD

  • Pain Medicine Physician
  • Greenwood, IN
  • NPI 1104878982
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1669789889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EXECUTIVE PARK DR STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433213",
            "telephone_number": "317-346-7246",
            "fax_number": "317-543-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EXECUTIVE PARK DR STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433213",
            "telephone_number": "317-346-7246",
            "fax_number": "317-543-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MASIMORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-346-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200997010C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200997010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William D Padamadan, MD
• Jaylee Padgett
• Jason Padilla Rodriguez
• Pain and Aging Management LLC
• Pain Management Solution LLC
• Megan Painter
• Reddy Rupa Pallavala, MD
• Ophelia Palmer
• Pamela Harris, P.T., Inc.
• Dattaben Pandya, NP

• Pain Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.